Individual provider Active NPI

Regina M Presley, AU.D., CCC/A

  • Audiologist
  • Baltimore, MD
National Provider Identifier
1619902244
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
655 Issued in MD
Practice address
6535 N Charles St
Ste 250
Baltimore, MD 21204-5826
Phone
(443) 849-8400
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 655 MD Primary

Addresses

Primary practice location

6535 N Charles St
Ste 250
Baltimore, MD 21204-5826

Mailing address

PO Box 631568
Baltimore, MD 21263-1568

Other identifiers 2

IdentifierTypeStateIssuer
S1290025OtherMDCAREFIRST REGIONAL GBMC
KJ47-68702902OtherMDCAREFIRST OF MD GBMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041113000196 MD Practitioner - Qualified Audiologist 1557325131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
85.51
Promoting interoperability
100
Improvement activities
40
Cost
65.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
655MDMDAudiologist
00855MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. Audiologist CurrentSince Jul 1, 2004 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jul 1, 2004 Accepting new patients

Locations

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6535 N Charles St
Ste 250
Towson, MD 21204
Phone (443) 849-2140

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1619902244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631568",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212631568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "STE 250",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "443-849-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "REGINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "AU.D., CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST REGIONAL GBMC",
            "identifier": "S1290025",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD GBMC",
            "identifier": "KJ47-68702902",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.